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Cardiac valvulopathy in the antiphospholipid syndrome
Authors:Lev Shaul  Shoenfeld Yehuda
Affiliation:(1) Department of Internal Medicine “B” Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, 52621 Tel-Hashomer, Israel;(2) Research Center of Autoimmune Diseases, Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Hashomer, Israel
Abstract:The Libman and Sacks non bacterial endocarditis was reported in 1924 in patients with SLE. Its relation to the anti cardiolpin syndrome has only been described as recently as the last decade. In this paper we review the deposition of theses antibodies on the valve with complement components initiating the deformation of the valve. The valvulopathy in APS is quite common and may lead to valve replacement. In addition, a diversity of manifestations are detailed. More awareness should be drawn to this new complication of APS.
Keywords:Antiphospholipid syndrome  systemic lupus erythromatosus  anti cardiolipin  antiphospholipid antibodies  heart valves  Libman-Sacks endocarditis  valvulopathy  mitral valve
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